Experience

WCB Manitoba

• Insurance

• Case Manager

  • Oct 2017 - Present

  Manage claim files, provide primary rehabilitation services, promote disability management concepts, and coordinate vocational rehabilitation and other professional services for an assigned group of employers and their workers. Assess injured workers' suitability for graduated or modified return to work programs, identify return to work opportunities, negotiate the parameters of return to work programs, assess the injured worker's ability to perform their duties safely, and monitor… Show more Manage claim files, provide primary rehabilitation services, promote disability management concepts, and coordinate vocational rehabilitation and other professional services for an assigned group of employers and their workers. Assess injured workers' suitability for graduated or modified return to work programs, identify return to work opportunities, negotiate the parameters of return to work programs, assess the injured worker's ability to perform their duties safely, and monitor their return to work program. Conduct work site assessments of the employer's premises and employment practices to determine suitability and sustainability of modified or alternate work for injured workers. Develop, design, implement, and monitor written case management plans, evaluate outcomes, and revise plans as required.

• Complaince officer II

  • Jul 2016 - Oct 2017

  Performed reviews, audits, and investigations to determine external stakeholder compliance under The WCB Act, its regulations or Board policies, and applied administrative sanctions when non-compliance was found. Conducted reviews of external stakeholders to determine compliance with their obligations under The Act and its regulations, made recommendations to the external stakeholder on how to become compliant, worked with the external stakeholder and other interested parties where… Show more Performed reviews, audits, and investigations to determine external stakeholder compliance under The WCB Act, its regulations or Board policies, and applied administrative sanctions when non-compliance was found. Conducted reviews of external stakeholders to determine compliance with their obligations under The Act and its regulations, made recommendations to the external stakeholder on how to become compliant, worked with the external stakeholder and other interested parties where applicable to develop an action plan to become compliant, and monitored the stakeholder's progress to compliance. Led formal investigations into allegations of non-compliance identified in the Program Abuse policy, where an administrative sanction was being considered. Investigated allegations of Program Abuse under the guidance of the Compliance Fraud Investigator when a formal charge was being considered.

• Adjudicator II

  • Apr 2012 - Jun 2016

  Responsible for adjudicating and managing the most complex claims in the Short Term Claim Unit Determine what claims are acceptable and authorizes/denies entitlement to compensation on an on-going basis where required. Gathers, assembles, reviews, develops and assesses information and opinions through written correspondence, in-person interview meetings and telephone to establish initial and ongoing entitlement to compensation Communicates with injured workers, employers… Show more Responsible for adjudicating and managing the most complex claims in the Short Term Claim Unit Determine what claims are acceptable and authorizes/denies entitlement to compensation on an on-going basis where required. Gathers, assembles, reviews, develops and assesses information and opinions through written correspondence, in-person interview meetings and telephone to establish initial and ongoing entitlement to compensation Communicates with injured workers, employers, representatives, healthcare practitioners, witnesses, and other parties to obtain/provide information Manages and facilitates the overall claim process (assesses, planning, implementing, coordinating, monitoring, evaluating, and terminating) up to 8 weeks of time loss